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SO YEON KANG
NPI 1396310306
Nurse Anesthetist, Certified Registered in Minneapolis, MN

Active since May 21, 2021Accepts Medicare Assignment
ONE VETERAN DRIVE, MINNEAPOLIS, MN 55417(612) 467-3518 Get Directions Write a Review

NPPES record last updated: October 19, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 19, 2023, May 21, 2021 (2 updates tracked since 2021).

About So Yeon Kang NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SO YEON KANG (NPI 1396310306) is an individual nurse anesthetist, certified registered in Minneapolis, Minnesota, licensed in Minnesota (2877) and active in the NPI registry since May 2021. She is affiliated with North Memorial Health Hospital and is a graduate of Other (2023).

NPPES Registry Identity

NPI1396310306
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameSO YEON KANG
Location AddressONE VETERAN DRIVEMinneapolis, MN 55417-5541
Mailing Address8291 Cottonwood Ln NMaple Grove, MN 55369-2864 · (612) 799-0729
Phone(612) 467-3518
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 21, 2021
Last NPPES UpdateOctober 19, 20232 updates tracked since enumeration
NPPES CertifiedOctober 19, 2023
✔ NPI 1396310306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in MN · 2877
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License R218597-8 (MN)
ONE VETERAN DRIVE, Minneapolis, MN 55417
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

So Yeon Kang is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981050796
PECOS Enrollment IDI20231031002241

Medicare Billing Reassignments

2

Medicare enrollment records show So Yeon Kang reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Allina Health System
1.3 mi
Family Medicine
2120 FORD PKWY
St Paul, MN 55116
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,733 clinicians in this Medicare group
NPI 1457657231 (651) 241-9600
Anesthesiology, P.A.
9.6 mi
Anesthesiology
3300 OAKDALE AVE N
Robbinsdale, MN 55422
  • Reassigned Medicare billing, Minnesota enrollment
  • 246 clinicians in this Medicare group
NPI 1013960798 (763) 520-5370

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Memorial Health Hospital

Acute Care Hospitals · Robbinsdale, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240001
Location3300 Oakdale NorthRobbinsdale, MN 55422 · Hennepin County
Emergency services Birthing friendly

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55417 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIRSTEN KATHLEEN RYDBERG RN
Registered Nurse (Emergency)
ONE VETERAN DRIVE
MINNEAPOLIS, MN 55417
Hennepin County (612) 467-4335
SUSAN KAYE BLUDORN RTA
Recreational Therapist Assistant
ONE VETERAN DRIVE
MINNEAPOLIS, MN 55417
Hennepin County (612) 467-7200
LISA KAY BROCKMAN LGSW
Social Worker (Clinical)
ONE VETERAN DRIVE
MINNEAPOLIS, MN 55417
Hennepin County (612) 467-3235

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is So Yeon Kang's NPI number?

The NPI number for So Yeon Kang is 1396310306. It was assigned to this individual provider in the NPPES registry on May 21, 2021.

Where is So Yeon Kang located?

So Yeon Kang practices at One Veteran Drive, Minneapolis, MN 55417. The listed phone number is (612) 467-3518.

What is So Yeon Kang's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is So Yeon Kang enrolled in Medicare?

Yes. So Yeon Kang is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for So Yeon Kang's services?

According to the CMS Revalidation Reassignment List (October 2026 release), So Yeon Kang reassigns Medicare benefits to 2 organizations: Allina Health System (St Paul, MN) and Anesthesiology, P.A. (Robbinsdale, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for So Yeon Kang's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is So Yeon Kang affiliated with any hospitals?

According to CMS data, So Yeon Kang is affiliated with North Memorial Health Hospital and Abbott Northwestern Hospital.

When was this NPI record last updated?

The NPPES record for So Yeon Kang was last updated on October 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.